Individual
DR. ANNA KATHRYN MODISETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
1121 E SPRING CREEK PKWY., STE. 110, #319, PLANO, TX 75074
(214) 343-6663
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
80026
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
S9749
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
06/25/2024
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